Effingham Rehab Services, LLC
Organization Active NPI Rehabilitation Clinic/Center · Pembroke, GA
NPI 1790289544 · NPPES record last updated Oct 12, 2023
Key facts
- NPI
- 1790289544
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Clinic/Center 261QR0400X
- Legal business name
- EFFINGHAM REHAB SERVICES, LLC
- Practice address
- 105 E Bacon St
Pembroke, GA 31321 - Phone
- (912) 653-0040
- Fax
- (912) 653-0038
- NPI assigned
- Mar 19, 2018
- Organization subpart
- No
Authorized official
- Name
- Steve Krzyminski
- Title
- Exec VP
- Phone
- (419) 221-6717
Other NPIs on the same Medicare enrollment 7
Practitioners 38
-
Kimberly Arnsdorff, PT, DPT
-
Crystal Best, DPT
-
Julian Colina, DPT, PT
-
Heather Michelle Daman, PT, DPT
-
Kyrsten Lee Dowling, PT, DPT
-
Kristi Ann Hagan, DPT
-
Amy Harkness, OT
-
Benjamin Thomas Ivey III, PT, DPT
-
Lisa Kalitka, PT, DPT
-
Ashley Craig Langford, DPT, FAAOMPT
-
Hannah P. Omilusik, DPT
-
Madison Sirpilla, PT, DPT
-
Dana Renee Weaver, DPT
-
Adele Jean Wilson, OTR/L
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171025001724 | GA | Part a Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 5597752063 |
7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Pembroke, GA; Savannah, GA; Richmond Hill, GA; Pooler, GA; Hinesville, GA; Rincon, GA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Yes |
Addresses
Primary practice location
105 E Bacon St
Pembroke, GA 31321
Mailing address
PO Box 150
Lima, OH 45802-0150
Phone (419) 221-6717
Other names
- CORA Physical Therapy - Pembroke
Other providers in Pembroke, GA
- Joanne S Burnsed
- Claire Busante
- Teresa U Cayton
- Community Primary & Urgent
- Curtis V. Cooper Primary Health Care Inc.
- Sharon Estill
- Gateway Behavioral Health Services
- Courtney Hare
- Harley Hendrix
- Karen H Herring
All providers in Pembroke, GA · Rehabilitation Clinic/Center in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.